A Posttraumatic Brachiocephalic Fistula Associated with a Supracondylar Fracture with a Brachial Artery Traumatic Lesion in a Child
Authors:
R. Burda; M. Kitka
Authors‘ workplace:
Klinika úrazovej chirurgie, FNLP, Rastislavova 43, Košice, Slovenská republika, prednosta kliniky prof. MUDr. Miroslav Kitka, Ph. D.
Published in:
Rozhl. Chir., 2008, roč. 87, č. 12, s. 636-638.
Category:
Monothematic special - Original
Overview
Supracondylar fractures of the distal humerus in children are one of the most frequent fractures in children. Generally complications include vascular injury, neurologic deficit, elbow stiffness, myositis ossificans, nonunion, avascular necrosis, angular deformity.
Vasular complications usually involve arterial spasmus or tear of a. brachialis, compartment syndome and ischemic syndrome of upper extremity.
Formation of posttraumatic brachiocephalic arteriovenous fistula is extremely rare complication following reconstruction of the brachial artery associated with open supracondylar fracture of the distal humerus.
We present an unusual case of formation of arteriovenous fistula following brachial artery reconstruction. We suppose that this complication should be considered as late vascular complication of childrens supracondylar fracture of the distal humerus.
Key words:
posttraumatic brachiopcephalic arteriovenous fistula – open supracondylar fracture in children – vascular complication of fractures
Sources
1. Joist, A., Joosten, U., Wetterkamp, D., Neuber, M., Probst, A., Rieger, H. Anterior interosseous nerve compression after supracondylar fracture of the humerus: a metaanalysis. J. Neurosurg., 1999; 90, 6: 1053–1056.
2. Copley, L. A., Dormans, J. P., Davidson, R. S. Vascular injuries and their sequelae in pediatrie supracondylar humeral fractures: toward a goal of prevention. J. Pediatr. Orthop., 1996; 16, 1: 99–103.
3. Dormans, J. P., Squillante, R., Sharf, H. Acute neurovascular complications with supracondylar humerus fractures in children. J. Hand. Surg. [Am], 1995; 20, 1: 1–4.
4. Cheng, J. C, Lam, T. P., Maffulli, N. Epidemiological features of supracondylar fractures of the humerus in Chinese children. J. Pediatr. Orthop. B., 2001; 10, 1: 63–67.
5. Kurbanov, U. A., Malikov, M., Davlatov, A. A., Sultonov, D. D., Boboev, A. R. Reconstruction of the brachial artery in supracondylar humerus fractures and forearm dislocations. Angiol. Sosud. Khir., 2006; 12, 3: 138–143.
6. Sabharwal, S., Tredwell, S. J., Beauchamp, R. D., Mackenzie, W. G., Jakubec, D. M., Cairns, R., Leblanc, J. G. Management of pulseless pink hand in pediatrie supracondylar fractures of humerus. J. Pediatr. Orthop., 1997; 17, 3: 303–310.
7. Schoenecker, P. L., Delgado, E., Rotman, M., Sicard, G. A., Capelli, A. M. Pulseless arm in association with totally displaced supracondylar fracture. J. Orthop. Trauma, 1996; 10, 6: 410–415.
8. Shaw, B. A., Kasser, J. R., Emans, J. B., Rand, F. F. Management of vascular injuries in displaced supracondylar humerus fractures without arteriography. J. Orthop. Trauma, 1990; 4, 1: 25–29.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 12
Most read in this issue
- Polycystosis of the Liver
- Malignant Melanoma Brain Metastasis – Diagnostic Difficulties
- Preoperative Mechanical Preparation of the Colon and Antibiotic Prophylaxis in Colorectal Surgery
- Distal Radius Fractures Managed by Osteosynthesis Using Intramedullary Nails – Initial Information